HHS Region V: Ebola Virus Disease Coordination and Transportation Plan City of Chicago & States of Illinois, Indiana, Michigan, Minnesota, Ohio and Wisconsin December 2016 This page left intentionally blank. Table of Contents HHS Region V: Ebola Virus Disease Coordination and Transportation Plan ................................................. i Table of Contents .......................................................................................................................................... ii Promulgation Statement ............................................................................................................................... 1 Approval and Implementation ...................................................................................................................... 2 Signature Page ............................................................................................................................................... 3 Record of Changes ......................................................................................................................................... 4 Record of Distribution ................................................................................................................................... 6 1. Purpose, Scope, Situation and Assumptions ............................................................................................ 7 1.1 Purpose .................................................................................................................................................... 7 1.2 Scope ........................................................................................................................................................ 7 1.3 Situation Overview .................................................................................................................................. 7 1.3.1 Description of the Disease ..................................................................................................................... 7 1.3.2 Transmission .......................................................................................................................................... 7 1.3.3 Description of HHS Region V ................................................................................................................. 8 1.4 Planning Assumptions ............................................................................................................................. 8 1.4.1 Patient Diagnosis and Preparation for Transport ................................................................................. 8 1.4.2 Patient Transportation Readiness ......................................................................................................... 8 1.4.3 Region V RTC Readiness ........................................................................................................................ 9 2. Organization and Anticipated Responsibilities ...................................................................................... 10 2.1 Organization .......................................................................................................................................... 10 2.2 Anticipated Responsibilities .................................................................................................................. 10 2.2.1 Federal Level — U.S Department of Health and Human Services ...................................................... 10 2.2.2 Regional Level ...................................................................................................................................... 11 2.2.3 Jurisdictional (City of Chicago or State) Level ..................................................................................... 12 2.2.4 Local or Tribal Level ............................................................................................................................. 12 3. Direction, Control, and Coordination ..................................................................................................... 14 3.1 Authority to Implement Plan ................................................................................................................ 14 3.1.1 Transfer of Patient to Region V RTC .................................................................................................... 14 3.1.2 Transfer of Patient to Region V Ebola Treatment Center (ETC) other than the Region V RTC Across State Lines ..................................................................................................................................................... 14 3.1.3 Transfer of Patient to an HHS RTC other than Region V..................................................................... 14 3.2 Communication and Coordination........................................................................................................ 14 3.2.1 Federal Level ........................................................................................................................................ 14 3.2.2 Originating Jurisdictional Health Department .................................................................................... 14 3.2.3 Receiving Jurisdictional Health Department ...................................................................................... 15 3.3 Initial Notification and Patient Placement ........................................................................................... 15 3.3.1 Initial Notification ................................................................................................................................ 15 ii 3.3.2 Patient Placement (Region V) ............................................................................................................. 16 3.3.3 Acceptance of Patient at Region V RTC ............................................................................................... 16 3.3.4 Patient Placement (Other HHS Region) .............................................................................................. 16 3.4 Air Transport to the Region V RTC ........................................................................................................ 16 3.4.1 Situation ............................................................................................................................................... 16 3.4.2 Assumptions ........................................................................................................................................ 16 3.4.3 Concept of Operations......................................................................................................................... 17 3.5 Ground Transport to the Regional Ebola Treatment Center ............................................................... 19 3.5.1 Situation ............................................................................................................................................... 19 3.5.2 Assumptions ........................................................................................................................................ 19 3.5.3 Concept of Operations......................................................................................................................... 20 3.5.4 Patient Transfer Points ........................................................................................................................ 20 3.6 Decontamination and Waste Management ......................................................................................... 21 3.6.1 Purpose ................................................................................................................................................ 21 3.6.2 Situation ............................................................................................................................................... 21 3.6.3 Assumptions ........................................................................................................................................ 22 3.6.4 Concept of Operations......................................................................................................................... 22 3.7 Provider Safety ...................................................................................................................................... 23 3.7.1 Purpose ................................................................................................................................................ 23 3.7.2 Guidance .............................................................................................................................................. 23 3.8 Mortuary Affairs .................................................................................................................................... 24 3.8.1 Purpose ................................................................................................................................................ 24 3.8.2 Situation ............................................................................................................................................... 24 3.8.3 Assumptions ........................................................................................................................................ 24 3.8.4 Concept of Operations......................................................................................................................... 24 3.9 Medical and Legal Considerations